Quoteworthy
I’m trying to be an inspiration and lead them not with carrot or stick but with teaching some sort of intrinsic reason why they should care.
Brigitte Smith

Most Recent
Vision, Guardrails and Empowerment: Working in a Team of Teams Culture

In this provocative thought piece, hospitalists and system leaders Kencee Graves and Bob Pendleton explain the “team of teams” approach to becoming more nimble, responsive, and adaptable to the demands of our changing world.

The Culture Advantage: How EVS Transformed Room Turn Time

Innovative teams solve problems by being curious, not by assigning blame. Environmental Services’ James Mwizerwa and Cooper Riley explain their deliberative approach to the long-standing and complex problem of getting inpatient rooms ready for the next patient.

Three Challenges for the Next Decade of Health Care

Patients will ask three things of us over the next decade of health care improvement: help me live my best life, make being a patient easier, and make care affordable. To meet those needs health care must shift—from organizing around a patient’s biology to understanding the patient’s biography.

The High Reliability Thanksgiving

Every year, Cindy Spangler hosts ‘Friendsgiving’ for over forty friends, family, and work colleagues. Cindy is also a senior value engineer and associate editor for Accelerate. So we asked: what is the process behind a successful Thanksgiving?

Is Less More? Oral Versus Intravenous Antibiotics After Hospitalization

Sometimes the most impactful change comes from simply asking, “Why are we doing things this way?” Pediatric infectious disease professor Adam Hersh explains the impact of practice inertia on antibiotic treatment in pediatric patients, and how questioning the status quo improved outcomes and reduced cost.

Don’t Let Metrics Undermine Your Purpose

Utah’s Chief Medical Quality Officer Bob Pendleton describes a strategic challenge faced by many industries, including health care. We are at risk for prioritizing achievement of metrics over our purpose. He challenges us to think beyond metrics to what patients actually need from us: patient-centered, outcome-focused, affordable care.

Chemotherapy Standardization: A Case Study in What it Takes to Design Safe Systems

Preventing medication errors often means using checklists and leveraging technology. But implementing these seemingly simple tools requires interdisciplinary teamwork, learning, and a commitment to ongoing verification that the process is working. Clinical operations nursing director Joy Lombardi describes how Huntsman Cancer Institute made chemotherapy highly reliable.

Unraveling Payment: The Whole (Health Care) Enchilada

Zac Watne returns to answer another variation of the all-too-familiar question: Why is health care so hard to understand? In this post, Zac unravels the bureaucratic and economic transactions that make up the whole health care enchilada.

Time For Change: How Reexamining Practice Improved Length of Stay in Labor and Delivery

Improvement isn’t just for one area of academic medicine. The right improvement can mean improved patient and trainee experience, reduced cost and a more engaged staff. Nurse Manager Bernice Tenort, physician Brett Einerson, and an interdisciplinary team ended up solving many challenges by tackling a long-standing problem: wait time in labor and delivery.

Team, Process, and Purpose: Best of the Posters 2019

Chief Medical Quality Officer Bob Pendleton kicks off our week-long celebration of improvement and community during University of Utah Health Value Week.

Value Week 2019: Daily Updates

Value Week is a unique collaborative event that brings together U of U Health’s improvement community to recognize the important and impactful work conducted throughout our organization.

How a Hospitalist Duo and a 1000-person Multidisciplinary Team Changed Practice

Changing practice is personal. It doesn’t happen through edict or mandate. Changing practice requires ongoing respectful dialogue. It requires clear vision, data-driven analysis and the support of a dedicated team. Changing practice takes longer that you think it will. In this example, we recognize the power of a partnership in this challenging and important work.